En bloc explant with lift 1 year ago gone wrong, why are my breasts deformed? (Photos)

Your skin and breast tissue have thinned from having large implants for so long. The skin envelope needs more support in order to hold shape. A small implant with mesh support could help give you improved shape.

Loss of Volume & Support
After removing large implants (especially 600cc), the remaining natural tissue may not have enough structure or elasticity to hold a full shape, even with a lift.

Over time, the skin and tissue can sag or collapse inward, creating a “deflated” or uneven appearance.

2. Tissue Thinning from Long-Term Implant Use
After 20 years with implants, especially large ones, your natural breast tissue likely thinned out. This makes it harder for the breast to regain a rounded shape once the implant is removed.

3. Chest Wall or Muscle Changes
Even though your surgeon said no muscle repair was needed, 20 years of dual-plane implants can change the positioning or function of the pectoral muscles.

A “window shading” effect or visible muscle movement might create odd shapes, dents, or shifting.

4. Capsular Contracture or Scarring
Even after an en bloc explant, internal scar tissue from your previous surgeries may remain and cause distortion.
Sometimes scar tissue pulls or puckers the skin in a way that becomes more visible over time.
5. Inadequate Lift or Technique
If the lift wasn’t aggressive enough to reshape and reposition the remaining tissue, or if skin quality was poor, the final result might look empty, sagging, or asymmetrical.
Also, your surgeon may have been conservative to avoid complications, which can lead to underwhelming aesthetic results.

Get a Second (or Third) Opinion
Preferably from a plastic surgeon with experience in revision and post-explant reconstruction.
Bring your surgical records and imaging if available — it helps them assess muscle, tissue, and implant history.
Consider Fat Grafting or Reconstructive Options
Fat transfer can restore volume in a more natural, subtle way.
Some women opt for smaller implants or internal mesh support (like GalaFLEX) if they want more shape without going back to large implants.
3D Imaging or Ultrasound
This can help assess any internal abnormalities, muscle separation, or scarring that might be affecting your outcome.

Giving428826: I am sorry to hear about your struggle following your explant procedure. Unfortunately, with multiple pairs of implants, especially ones as large as the ones you had, the breast and chest wall tissue can get deformed. I think in your case, it might be possible to revise your breast lift to remove a bit more skin. Apart from that, the next move that could help would be natural fat transfer.